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The Result Implementation Of Finger Hold On Laparatomy Post-Operative Patients at The HCU Cempaka Room Of Dr. Moewardi Regional General Hospital (RSUD) in Surakarta Maiyun, Niken Palupy; Prajayanti, Eska Dwi; Wulandari, Isti
Journal Keperawatan Vol. 3 No. 2 (2024): November 2024
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v3i2.76

Abstract

Background: Surgery induces changes in the body's tissue structure, triggering the body's recovery response to maintain balance (homeostasis). This process involves chemical reactions in the body that produce pain sensations in patients. Finger hold technique is a combination of deep breathing relaxation and grasping the fingers relatively quickly. The sensation experienced during the use of this technique provides a deeper sense of comfort and relaxation, as well as increasing tolerance to pain. Purpose:  To determine the outcomes of applying finger hold technique on laparatomy post-operative patients at the HCU Cempaka of Dr. Moewardi Regional General Hospital (RSUD) in Surakarta. Methods: The type of research is descriptive research in the form of a case study involving 2 postoperative patients. The research instrument uses the Numeric Rating Scale (NRS) to measure the pain scale. Results: The results of the study showed that before the application of finger grip therapy, Mrs. S obtained an NRS score of 8 (severe pain), while Mrs. N obtained an NRS score of 9 (severe pain). After the application of finger grip therapy for 3 consecutive days, Mrs. S obtained an NRS score of 3, likewise for Mrs. N after the application, an NRS score of 3 was obtained. Conclusion: After applying finger grip for 3 consecutive days on Mrs. S and Mrs. N, it can be concluded that there was a decrease in the level of pain in both patients from severe pain to mild pain.
PENERAPAN DZIKIR TERHADAP TINGKAT KECEMASAN PASIEN PRE OPERATIF BEDAH MAYOR DI BANGSAL FLAMBOYAN 7 RUMAH SAKIT UMUM DAERAH Dr.MOEWARDI SURAKARTA Syafi’i Ma’arif, Imtihan; Wulandari, Isti; Dwi Prajayanti, Eska
Jurnal Ilmiah Ilmu Kesehatan Vol. 2 No. 3 (2024): Volume 2 Nomor 3 Tahun 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jiik.v2i3.32903

Abstract

Tindakan operasi bedah telah menjadi komponen pelayanan kesehatan yang essensial pada banyak negara di dunia. World Health Organization (WHO) jumlah klien yang menjalani tindakan operasi mencapai angka peningkatan yang sangat signifikan setiap tahunnya. Diperkirakan setiap tahun ada 165 juta tindakan bedah di lakukan di seluruh Dunia. Tercatat di tahun 2020 ada 234 juta jiwa klien di semua rumah sakit di dunia. Tindakan operasi/pembedahan di Indonesia tahun 2020 mencapai hingga 1,2 juta jiwa. Gejala kecemasan yang dialami pasien pre operasi dapat menyebabkan munculya tandatanda stimulasi simpatis dan stres. Untuk mengatasi kecemasan terapi non farmakologinya yaitu dengan dzikir. Mengetahui hasil penerapan “Terapi Dzikir Terhadap Tingkat Kecemasan Pasien Pre Oprasi Bedah Mayor Di Bangsal Flamboyan 7 RSUD dr. Moewardi Surakarta”. Penerapan bersifat deskriptif, desain penelitian studi kasus ini menggunakan One grub Pretest dan Postest, sampel 2 responden, instrument penelitian kuesioner Zung Self-rating Anxiety Scale (ZSAS), penerapan menggunakan terapi dzikir. Menunjukkan data sesudah dilakukan penerapan terapi dzikir di dapatkan pasien mengalami penurunan kecemasan selama di ruang bangsal flamboyan 7. Diperoleh hasil Ny.E dan Ny.W mengalami kecemasan ringan. Terapi dzikir yang di lakukan di ruang bangsal flamboyan 7 dapat menurunkan tingkat kecemasan pada pasien pre oprasi yang sebelum di lakukan di kategorikan cemas sedang kemudian turun menjadi cemas ringan.
Implementasi Manajemen Kurikulum untuk Menghasilkan Kesejahteraan Sekolah Wulandari, Isti; Widodo, Hendro; Sukirman, Sukirman
Adaara: Jurnal Manajemen Pendidikan Islam Vol. 15 No. 2 (2025): Islamic Education Management
Publisher : Program Studi Manajemen Pendidikan Islam IAIN Bone

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30863/ajmpi.v15i2.10468

Abstract

Curriculum management is a strategic component in ensuring educational quality, particularly in the context of vocational education such as Vocational High Schools (SMK). Changes in national education policy and the dynamics of industry demand an adaptive, participatory, and contextual curriculum management system. This study aims to uncover how the implementation of curriculum management at SMK Muhammadiyah 1 Bambanglipuro contributes to improving school well-being, encompassing the dimensions of teachers, students, facilities, and institutions. A qualitative approach with a phenomenological design was used to understand the direct experiences of educational stakeholders related to the curriculum management process at the school. Data were obtained through in-depth interviews, observations, and documentation studies with three main participants: the principal, the vice principal for curriculum, and teachers. The results indicate that the implementation of curriculum management reflects synergy with industry, adjustments to the Independent Curriculum, and ongoing teacher training. Collaborative practices, such as the Teaching Factory with industry partners (Astra, Daihatsu, Jogja TV), also support the achievement of school well-being, both professionally, materially, and institutionally. This study recommends strengthening the curriculum evaluation system and developing industry partnerships as sustainable strategies to improve school quality and well-being.
Analysis of the Emergency Nursing Staff Need Using Baseline Emergency Staffing Tool (Best) In Indonesia: A Prospective Study Putra, Kuswantoro Rusca; Rahmawati, Ike Nesdia; Noviyanti, Linda Wieke; Wulandari, Isti; Susilowati, Ratna
Fundamental and Management Nursing Journal Vol. 7 No. 1 (2024): APRIL 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v7i1.48569

Abstract

Introduction: Patient density in the emergency room (ER) is a worldwide phenomenon and a major health-care issue. Because of the high degree of patient severity and the dynamic workflow, treating patients in the ER is frequently delayed. But, determining the need for nurses in the ER is difficult since patients arrive at random, including several complex situations, the quantity of patients, and the length of stay shifting greatly. This study aims to assess the emergency nursing staff need by determining the nurses' workload and patient dependency level in emergency room of the hospital using the baseline emergency staffing tool (BEST). Methods: A prospective observational research design was used in this study. A consecutive sample of 101 nurses selected in seven-day period in emergency department. The research was carried out in two government general hospitals situated in the provinces of Central Java and East Java. The BEST was used to estimate nursing staff requirement in emergency department and patient dependency was assessed using the Jones Dependency Tool (JDT). Results: Calculation of staff requirements in the ER of the first hospital has an average of 16 nurses, while the second hospital has an average of 30 people. The staffing challenges faced by these hospitals are significant, with a discrepancy of 3 nurses and 14 individuals in the ER. Based on the official hours, the highest number of staff needed in the evening and night while the relatively low number is in the morning. Conclusions: This gap in staffing might have an effect on how patient's outcomes and poses potential risks. To maintain the greatest standard of service, it is critical to account for changes in patient volume and alter staffing levels accordingly
PENERAPAN GUIDE IMAGERY RELAXATION UNTUK MENURUNKAN NYERI PASIEN CEDERA KEPALA RINGAN DI RSUD Dr. MOEWARDI SURAKARTA Devi, Sinta Septiana; Husain, Fida'; Wulandari, Isti
Jurnal Osadhawedyah Vol 3 No 4 (2025): Jurnal Osadhawedyah | Nopember 2025 - Januari 2026
Publisher : PT NAFATIMAH GRESIK PUSTAKA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: cedera kepala merupakan kondisi dimana struktur kepala mengalami benturan dari luar dan berpotensi menimbulkan gangguan pada fungsi otak kondisi cedera kepala meliputi luka ringan, memar di kulit kepala, bengkak, perdarahan, dislokasi. Tujuan: untuk mengetahui hasil penerapan Guide Imagery Relaxation dalam menurunkan nyeri Metode Penerapan dilakukan dengan metode deskriptif dengan studi kasus pada penerapan ini dilakukan pengukuran tingkat nyeri menggunakan Numeric Rating Scale kepada 2 responden dengan diagnosa Cedera Kepala Ringan dilakukan selama 1x dalam sehari dengan waktu 15 menit. Hasil: penerapan yang telah dilakukan, didapatkan bahwa pada responden I mengalami penurunan skala nyeri dari skala 6 ke skala 3, sedangkan pada responden II mengalami peningkatan skala nyeri dari skala 6 ke skala 2 Kesimpulan: Pemberian terapi Guide Imagery Relaxation dapat dijadikan salah satu teknik non farmakologi atau intervensi mandiri mengurangi rasa nyeri pada pasien Cidera Kepala Ringan.
The Application of Hand Massage in Reducing Pain Intensity in Patients After Laparatomy Surgery in Flamboyan 5 Ward, Dr. Moewardi Regional General Hospital of Surakarta Astuti, Sintya Diah Putri; Silvitasari, Ika; Wulandari, Isti
Jurnal Kegawatdaruratan Medis Indonesia Vol. 5 No. 1: February 2026
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v5i1.537

Abstract

Background: Laparotomy is a major surgical procedure associated with significant postoperative pain. While pharmacological management remains standard, non-pharmacological therapies such as hand massage offer complementary benefits for pain reduction. Objective: This study aimed to evaluate the effectiveness of hand massage in reducing pain intensity among post-laparotomy patients. Methods: A descriptive case study design was employed involving two patients recovering from laparotomy at Flamboyan 5 Ward, Dr. Moewardi Regional General Hospital, Surakarta. The intervention consisted of a 10-minute hand massage session conducted daily for three consecutive days. Pain intensity was measured using the Numerical Rating Scale (NRS) before and after each intervention. Results: Both participants demonstrated a reduction in pain scores following the intervention. Patient A's pain level decreased from 6 (moderate) to 1 (mild), while Patient W's decreased from 6 (moderate) to 2 (mild). The average reduction in pain scale was 4.5 points. Conclusion: Hand massage is effective in reducing pain intensity in post-laparotomy patients. It represents a safe, simple, and non-invasive option for non-pharmacological pain management in nursing care.
Pengaruh Kinerja Aset Terhadap Kepuasan Pengguna Terminal Pasir Hayam Cianjur (Studi Kasus Menurut Persepsi Pengguna) Wulandari, Isti; Setyowati, Tri; Fadjarwati, Nurlaila
Jurnal Konstruksi dan Infrastruktur : Teknik Sipil dan Perencanaan Vol 13 No 3 (2025): Jurnal Konstruksi dan Infrastruktur Vol 13 No.3 Desember 2025 Special Edition: E
Publisher : Civil Engineering Department, Faculty of Engineering, Universitas Swadaya Gunung Jati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/jki.v13i3.10646

Abstract

Pasir Hayam Terminal is a passenger terminal that functions as the main land transportation center in Cianjur Regency. Despite its strategic role, the terminal still encounters several asset performance issues, including unclear departure and arrival lanes, limited seating in the waiting area, inadequate lighting, damaged access roads, and the absence of ticket counters. This study aims to analyze the influence of asset performance on user satisfaction at Pasir Hayam Terminal. Asset performance is assessed using four dimensions: Safety and Security, Access, Information, and Allied Facilities. User satisfaction is measured through expectation conformity, intention to revisit, and willingness to recommend. A mixed-method approach is applied in this study. Quantitative data were collected using questionnaires and analyzed through IBM SPSS Statistics 26, employing tests such as validity, reliability, normality, simple linear regression, and t-tests. Qualitative data were obtained through observation and interviews, then analyzed through data reduction, data display, and conclusion drawing. The results indicate that asset performance is in the “moderate” category with a mean score of 3.089, although improvements are needed in information availability and accessibility. User satisfaction is also considered moderate, with a mean score of 2.738. While users perceive the facilities as generally meeting expectations, their willingness to recommend the terminal remains low. Regression analysis reveals that asset performance significantly influence user satisfaction, with an R² value of 0.557 it means 55.7% of satisfaction is influenced by asset performance. These findings suggest that enhancing asset performance could substantially improve user satisfaction at Pasir Hayam Terminal.